Thunder Bay - Internal Medicine

NOSM UniversityThunder Bay, OntarioCMG stream

Program websiteWebsite CANPREPPCANPREPP1 more link

Open on carms.ca

CaRMS program description, 2026 match, last approved 9 Sep 2025

From the 2026 match (R-1 2026). See the 2027 version

Positions (approx. quota): 4 positions
Length: 5 years
Stream: CMG
Discipline: Internal Medicine
Applications per year: 51–200
Applicants offered interviews: 51–75%
Accreditation: Accredited
CaRMS program ID: 29910

Bands are 5-year averages the program reports to CaRMS. They describe past cycles, not your odds.

Summary

NOSM University's Internal Medicine residency program offers a comprehensive clinical curriculum with core and subspecialty rotations across Northern Ontario. The program provides residents with diverse training experiences, preparing them to become well-rounded general internists capable of practicing in various clinical settings, including urban, rural, and remote communities.

Training

Research

Residents participate in a research curriculum with dedicated research advisor, research assistant, and research librarian. One or two four-week research blocks available, with expectation of completing a scholarly project.

Training setting

Two main training sites in Sudbury and Thunder Bay, with opportunities for rotations across multiple Northern Ontario communities. Residents will experience diverse clinical environments including Medical Clinical Teaching Units (MCTU), community hospitals, and rural clinics.

Teaching approach

Learner-centered, self-directed training with progressive independence, focusing on developing competent general internists who can adapt to various healthcare settings and patient populations.

Setting types

Academic medical center
Community hospital
Rural clinic
Regional referral center

Focus areas

General Internal Medicine
Rural Medicine
Northern Ontario Healthcare
Community-Based Practice

Patient populations

Northern Ontario communities
Urban patients
Rural patients
Remote community patients
Indigenous populations
Francophone communities

Highlights

Distributed medical education model
Competency-Based Medical Education (CBME)
Annual Simulation event
Resident Research Day
Ultrasound Training
Scholarly activity requirement
OSCE (Objective Structured Clinical Examination)
Research curriculum
Community GIM experience

Strengths

Comprehensive training across multiple sites
Strong support for rural and northern medicine
High clinical responsibility with preceptor support
Diverse clinical exposure
Commitment to resident learning and wellness

Enhanced skills

Procedural training
Exercise stress testing
Ambulatory ECG monitoring
Pulmonary Function Testing
Bone marrow biopsy and aspiration

By year

PGY-1

Medical Clinical Teaching Unit (MCTU)Thunder Bay and Sudbury4 blocks
Subspecialty RotationsVarious3 blocks
CardiologyThunder Bay and Sudbury2 blocks
NephrologyThunder Bay and Sudbury1 block
Foundational ICUThunder Bay and North Bay1 block
Emergency MedicineThunder Bay and Sudbury1 block
GeriatricsThunder Bay and Sudbury1 block

PGY-2

Medical Clinical Teaching Unit (MCTU)Thunder Bay and Sudbury4 blocks
Critical Care Unit/Intensive Care UnitSudbury and Thunder Bay2 blocks
Community General Internal MedicineVarious1 block

PGY-3

Medical Clinical Teaching Unit (MCTU)Thunder Bay and Sudbury4 blocks
Critical Care Unit/Intensive Care UnitSudbury and Thunder Bay2 blocks
Ambulatory General Internal MedicineVarious1 block

From the program's rotation list.

Selection

What the program looks at

Academic record
Reference letters
Personal letter
Elective experiences
Interview performance
Interpersonal skills
Demonstrated interest in Internal Medicine

Applications per year

51–200

Applicants offered interviews

51–75%

Interviews

Dates (2026 match): 3 Nov 2025; 28, 29 and 31 Jan 2026

Programs can change interview dates. Confirm on carms.ca.

Pay

Provincial scale, last updated 6 Jan 2025 · check the current agreement(opens in a new tab)

Contract expired, may change.

Annual salary by PGY level, Ontario
Level	Annual salary
PGY-1	$73,367 / year
PGY-2	$79,670 / year
PGY-3	$85,564 / year
PGY-4	$92,701 / year
PGY-5	$98,567 / year

One provincial scale for Ontario, set by the resident agreement, so every program there pays the same. Showing the 5 levels this program covers.

Call

Call (provincial max): 7 nights in 28 in-house

The union agreement’s cap for all residents in the province; your program’s actual call schedule may be lighter. Check with the program.

PARO agreement, 1 Jul 2023 to 30 Jun 2026. The term has ended; its terms continue until a new agreement is signed.

Teaching sites

Thunder Bay Regional Health Sciences Centre
Health Sciences North (Sudbury)
North Bay Regional Health Centre
Sault Ste. Marie Hospital

Hospital facts

Hospital size and activity: Ontario doesn't publish this as open data.

Unfilled positions in past years

Open after round 1 in 7 of 8 years (2019–2026); still open after round 2 in 0 of 9 years.

Positions at this site, all streams. Site as CaRMS lists it: Thunder Bay.

Positions at this site, all streams, still open after round 1 and after round 2, by year. Each count above zero links to the CaRMS list page it comes from.
Year	Open after round 1	Open after round 2
2018	not available	0
2019	3 positions open after round 1 in 2019, CaRMS list (opens in a new tab)	0
2020	1 position open after round 1 in 2020, CaRMS list (opens in a new tab)	0
2021	0	0
2022	2 positions open after round 1 in 2022, CaRMS list (opens in a new tab)	0
2023	3 positions open after round 1 in 2023, CaRMS list (opens in a new tab)	0
2024	4 positions open after round 1 in 2024, CaRMS list (opens in a new tab)	0
2025	2 positions open after round 1 in 2025, CaRMS list (opens in a new tab)	0
2026	3 positions open after round 1 in 2026, CaRMS list (opens in a new tab)	0

CaRMS’s first-round list for 2018 was not found, so round 1 is counted over 8 years and round 2 over 9.

A position can go unfilled because of where the site is, because it is open to IMGs only or to another restricted stream, or because the quota changed late. It says nothing about the quality of the training. Verify with the CaRMS lists. Source: CaRMS’s lists of positions open after round 1 and after round 2, as read in October 2026 (latest: 2026 round 1 (CaRMS PDF, opens in a new tab), 2026 round 2 (CaRMS PDF, opens in a new tab)). A site’s numbers are shown when it had positions open after round 1 in at least 2 of 8 years or at least 3 in one year.

Contacts

Contacts weren't collected for the 2026 match.

The current program director and contacts are on the 2027 version of this program and on the CaRMS program page(opens in a new tab).

Location

Thunder Bay, Ontario

About the city

Public statistics for the place named by this program’s location label, each with its source and reference period. They describe the place, not the program, and are not a ranking. Check each source before you rely on it.

Climate

Canadian Climate Normals, 1991–2020. Each value comes from the nearest weather station that reports it, not from the city itself.

January average: −13.4 °C Thunder Bay, 6.3 km away
July average: 18.0 °C Thunder Bay, 6.3 km away
Snowfall: not reported No weather station within 100 km reports it
Days below −20 °C: 42.2 days a year Thunder Bay, 6.3 km away

People

2021 Census. Figures are for the municipality of Thunder Bay, not the metropolitan area. Statistics Canada rounds counts, so small places are approximate.

Population: 108,843 people up 0.9% from 2016
Official languages: English only 91.5% · French only 0.1% · English and French 8.0% · neither 0.5% Share of residents who can conduct a conversation in each. This is not the language spoken at home.
Immigrants: 8.6% of residents arrived 2016–2021: 1.0% · non-permanent residents: 2.5%
Indigenous identity: 14.1% of residents
How people commute: car, truck or van 88.5% · public transit 3.8% · walking or cycling 5.9% · other 1.8% Average commute: 15.6 minutes. Shares are of people who commute.The way Canadians commute was altered in 2021 by the pandemic, with lockdowns to slow the spread of COVID-19 and changes in how and where Canadians worked leading to 2.8 million fewer commuters, compared with five years earlier. Statistics Canada, The Daily, 30 Nov 2022(opens in a new tab)
Median household income: $77,500 before tax $69,000 after tax · income year 2020, in 2020 dollars

Rural and remote

This describes the place named by the program’s location label. Programs can train in several towns, so it is not every site.

Population centre: Thunder Bay, a medium population centre (30,000 to 99,999 people) 95,266 people in 2021
Remoteness index: 0.295 0 is least remote, 1 is most remote. Statistics Canada calls this index experimental.

Housing, cost and work

Each figure names the area it covers. A missing line means the source publishes nothing for this area.

Rental vacancy rate: 3.9% October 2025 survey, Thunder Bay, Ontario (census metropolitan area). The share of purpose-built rentals (three units and over) vacant, not a rent.
Basic cost of living: $54,744 a year Market Basket Measure 2025, Ontario, population 100,000 to 499,999, for two adults with two children. A modest, basic basket (the poverty line), not a resident’s budget. A size-class region is not the town itself.
Unemployment rate: 4.3% September 2026, three-month average, seasonally adjusted, Thunder Bay, Ontario (census metropolitan area); standard error 0.6 points. A survey estimate.

Job outlook

Employment and Social Development Canada’s rating for the occupation in the economic region. It is not a count of jobs, and says nothing about CaRMS positions or your match.

Outlook, 2025–2027: Good The employment outlook will be Good for specialists in clinical and laboratory medicine (NOC 31100) in the Northwest region for the 2025-2027 period.
Canada-wide, to 2033: Strong risk of Shortage ESDC’s projection for specialists in clinical and laboratory medicine, 2024–2033. Recent conditions, 2021–2023: Strong signs of Shortage.

Sources and licences

Contains information licensed under the Open Government Licence - Canada. Adapted from Statistics Canada, 2021 Census Cartographic Boundary Files.
Adapted from Canada Mortgage and Housing Corporation, Rental Market Survey, October 2025 (vacancy rates), and Statistics Canada, Table 34-10-0130-01. This does not constitute an endorsement by Canada Mortgage and Housing Corporation or Statistics Canada of this product.
Contains information licensed under the Open Government Licence - Canada (Employment and Social Development Canada, Canadian Occupational Projection System (COPS), 2024 to 2033 projections).
Data Source: Environment and Climate Change Canada (Canadian Climate Normals 1991-2020).
Contains information licensed under the Open Government Licence - Canada (Employment and Social Development Canada, 3-Year Employment Outlooks).
Adapted from Statistics Canada, Index of Remoteness (17-26-0001), 2021. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 14-10-0459-01 Labour force characteristics by census metropolitan area, three-month moving average, seasonally adjusted, reference month 2026-09. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 11-10-0066-01 Market Basket Measure (MBM) thresholds for the reference family by Market Basket Measure region, component and base year, 2025. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0011-01 Population and dwelling counts: Canada and population centres, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0002-01 Population and dwelling counts: Canada and census subdivisions (municipalities), 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0057-01 Household income statistics by household type: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0173-01 Mother tongue by knowledge of official languages: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0266-01 Indigenous identity by Registered or Treaty Indian status: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0307-01 Immigrant status and period of immigration by place of birth: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0458-01 Main mode of commuting by commuting duration, time leaving for work, age and gender: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.

Independent. Not affiliated with CaRMS or the program. Programs edit their descriptions during the match; confirm on carms.ca (opens in a new tab) before you apply. Data last updated on CdnMD 5 Oct 2026.